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1699132126
KELLY NIX
MOORE, OK
NPI
1699132126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: OK 61421)
Enumeration Date
2016-01-28
Last Update Date
2016-01-29
Business Address
-- KELLY NIX RN, BS, CCM
400 N BROADWAY ST
MOORE, OK 73160-4812
Phone number: 405-735-4650
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Mailing Address
-- KELLY NIX RN, BS, CCM
400 N BROADWAY ST
MOORE, OK 73160-4812
Phone number: 405-735-4650
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